id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-011138-y9v5ivzg	Hatchimonji, Justin S.	Questioning dogma: does a GCS of 8 require intubation?	2020-05-07		.txt	text/plain	3232	179	52	We investigated the effect of intubation in trauma patients with a GCS 6–8, with the hypothesis that intubation would increase mortality and length of stay. CONCLUSION: Among patients with GCS of 6 to 8, intubation on arrival was associated with an increase in mortality and with longer ICU and overall length of stay. Likewise, the Eastern Association for the Surgery of Trauma (EAST) practice management guidelines (PMGs) give a level 1 recommendation for intubation for patients with a GCS of 8 [2, 3] . Using IPWRA analysis adjusted for GCS, age, sex, hypotension, maximum head, chest, and abdomen/pelvis abbreviated injury scale (AIS) scores, we determined that the average treatment effect (ATE) of intubation was associated with increased odds of mortality (OR 1.05, 95% CI 1.03-1.06). Among patients with GCS of 6-8, intubation on arrival was associated with increased mortality, ICU days, and overall length of stay.	./cache/cord-011138-y9v5ivzg.txt	./txt/cord-011138-y9v5ivzg.txt